Facial Expression And Mastication Flashcards
Scalp boundaries
SCALP
Viscerocranium: temporal bone
Particular tubercle
Mandibular fossa
Styloid process
Mastoid process
Stylomastoid foremen
Mastoid notch
Viscerocranium: mandible
Mandibular condyle
Coronoid process
Temporomandibular joint articulation
- Fibrocartilage disc
- superior compartment
- inferior compartment - Ligaments
- joint capsule
TMJ motions
Depression vs. Elevation: depression is weaker in the animal kingdom
Protrusion vs. Retrusion/Retraction
Excursion: side to side
Temporal fossa: boundaries
Above zygomatic arch
Posterior to the frontozygomatic suture
Temporal fossa: contents
Proximal portion of temporalis muscle
Infratemporal fossa: boundaries
Below zygomatic arch
Posterior to maxilla
Between
Pterygoid plates and mandible
Infra temporal fossa: contents
- optic ganglion
Distal temporalis muscle
Lateral and medial pterygoid muscles
Maxillary urtery”
Pterygopalatine fossa: boundaries
Medial: palatine bone
Anterior: the posterior maxilla
Posterior: sphenoid bone
Pterygopalatine fossa: contents
Facial nerve: CN 7
Originates: lateral pontomedullary junction
Outlets: internal acoustic meatis
CN 7 lesion before outlet
All functions will be compromised
CN 7 Lesion: after geniculate ganglion, before tympanic cavity
CNI lesion: before
CN 7 lesion:
CN 7 lesions
Facial expression branches acronym
Two zebras bit my cookie
Facial expression branches
Temporal, zygomatic, buccal, mandibular, cervical, posterior auricular
Intra-anastomoses and inter-anastomoses
CN 5: trigeminal nerve: 1st division
Originates at middle lateral pons
1. Ophthalmic nerve, pure somatic/chemical sensation
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CN 5: trigeminal nerve: 3rd division
Mandibular nerve
Outlet: foremen ovale
Sensory
1. Terminal cutaneous branch: mental nerve
2. Chemical sensation: taste
Motor
1. Mastication muscles, mendibular depression muscles
2. Hearing
3. Swallowing
CN 5: mandibular division muscle innervation
First fibers: tensor tympani, tensor veil palatini, medial pterygoid, meningeal (cutaneous)
Anterior division: temporalis, master, lateral pterygoid, buccal (cutaneous)
Posterior division:
Dura mater sensory input
CN 5: migraine
C2-C3: headache originating from neck
Dura mater sensory input
CN 5: migraine
C2-C3: headache originating from neck
CN 5 shuttle for visceral innovation for what nerves
CN 3: ciliary ganglion w/ division 1 of CN 5
CN 7: pterygopalatine yang lion w/ zygomatic
CN 5 shuttle for visceral innovation for what nerves
CN 3: ciliary ganglion w/ division 1 of CN 5
CN 7: pterygopalatine yang lion w/ zygomatic
External carotid artery branches (7)
Maxillary artery branches
Facial venous system
Buccinator
Orbicularis oculi
Zygomaticus major
Medial pterygoid muscle
P: (1) medial surface of the lateral pterygoid plate and pyramidal process of palatine bone
(2) tuberosity of maxilla
D: medial mendibular ramus and angle
Lateral pterygoid muscle
Temporalis muscle
Temporal fossa and temporal fascia
Coronoid process and anterior mandibular ramus
CN 5
Elevate and retract mandible
Master muscle
Deep facial muscle
Buccinator
CN 7 upper motor injury
Paralysis of contralateral face, scalp spared
CN 7 lower motor injury
Paralysis of ipsilateral